Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers

Introduction. Blood pressure variability is a significant prognostic factor and an independent predictor of cardiovascular disease and mortality in patients with arterial hypertension. Objective. The objective of our study was to perform a comparative analysis of blood pressure variability indices i...

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Main Author: Olena Kanishcheva
Format: Article
Language:English
Published: V.N. Karazin Kharkov National University 2022-07-01
Series:Актуальні проблеми сучасної медицини
Subjects:
Online Access:https://periodicals.karazin.ua/apmm/article/view/20402
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author Olena Kanishcheva
author_facet Olena Kanishcheva
author_sort Olena Kanishcheva
collection DOAJ
description Introduction. Blood pressure variability is a significant prognostic factor and an independent predictor of cardiovascular disease and mortality in patients with arterial hypertension. Objective. The objective of our study was to perform a comparative analysis of blood pressure variability indices in patients with hypertension and healthy volunteers. Materials and methods. 172 patients with arterial hypertension and 22 healthy volunteers took part in the study. All study participants underwent daily BP monitoring, based on the results of which short-term blood pressure variability was assessed. The results. In this open, non-randomized, single-point study, we first performed a comparative analysis of short-term BP variability in patients with hypertension and healthy volunteers. Currently, there is no generally accepted consensus regarding which of the proposed indices of BP variability is more informative. Therefore, in order to objectify the obtained data, we calculated several of the most widely used indices of short-term BP variability. In the main group all indices, SBP as well as DBP, were higher compared to the control group. However, the statistical significance of this difference was confirmed only for some, not for all indices. Conclusions. According to the results of the analysis of SD, SDw, CV, SV and ARV indices, a higher variability of blood pressure was established in patients with arterial hypertension compared to that in healthy volunteers. On the other hand, convincing data on the diagnostic informativeness of the CV index in the assessment of blood pressure variability were not obtained in this study.
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spelling doaj.art-97856e5955a34db4b2c4d9f2e3a59eca2022-12-22T03:56:19ZengV.N. Karazin Kharkov National UniversityАктуальні проблеми сучасної медицини2617-409X2022-07-0199313810.26565/2617-409X-2022-9-04Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteersOlena Kanishcheva0https://orcid.org/0000-0002-2955-5478V. N. Karazin Kharkiv National UniversityIntroduction. Blood pressure variability is a significant prognostic factor and an independent predictor of cardiovascular disease and mortality in patients with arterial hypertension. Objective. The objective of our study was to perform a comparative analysis of blood pressure variability indices in patients with hypertension and healthy volunteers. Materials and methods. 172 patients with arterial hypertension and 22 healthy volunteers took part in the study. All study participants underwent daily BP monitoring, based on the results of which short-term blood pressure variability was assessed. The results. In this open, non-randomized, single-point study, we first performed a comparative analysis of short-term BP variability in patients with hypertension and healthy volunteers. Currently, there is no generally accepted consensus regarding which of the proposed indices of BP variability is more informative. Therefore, in order to objectify the obtained data, we calculated several of the most widely used indices of short-term BP variability. In the main group all indices, SBP as well as DBP, were higher compared to the control group. However, the statistical significance of this difference was confirmed only for some, not for all indices. Conclusions. According to the results of the analysis of SD, SDw, CV, SV and ARV indices, a higher variability of blood pressure was established in patients with arterial hypertension compared to that in healthy volunteers. On the other hand, convincing data on the diagnostic informativeness of the CV index in the assessment of blood pressure variability were not obtained in this study.https://periodicals.karazin.ua/apmm/article/view/20402blood pressure variabilityambulatory blood pressure monitoringarterial hypertension
spellingShingle Olena Kanishcheva
Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers
Актуальні проблеми сучасної медицини
blood pressure variability
ambulatory blood pressure monitoring
arterial hypertension
title Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers
title_full Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers
title_fullStr Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers
title_full_unstemmed Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers
title_short Some features of short-term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers
title_sort some features of short term blood pressure variability in patients with arterial hypertension in comparison with healthy volunteers
topic blood pressure variability
ambulatory blood pressure monitoring
arterial hypertension
url https://periodicals.karazin.ua/apmm/article/view/20402
work_keys_str_mv AT olenakanishcheva somefeaturesofshorttermbloodpressurevariabilityinpatientswitharterialhypertensionincomparisonwithhealthyvolunteers